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Country Club Retirement Ctr Iv

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About Country Club Retirement Ctr Iv

General Information

Legal Business NameCountry Club Retirement Center Iv, Inc
Ownership TypeFor Profit - Corporation
Changed Ownership In The Last 12 MonthsNo
First Accepted MedicareJune 23, 1987 (30 years)
Capacity62
Residents55
Percent Occupied89%
Program ParticipationMedicare And Medicaid
Resident And Family CouncilsNone
In HospitalNo
Continuing Care Retirement CommunityYes
Special Focus FacilityNo
Auto Sprinkler System In Required AreasYes

Ratings for Country Club Retirement Ctr Iv

Country Club Retirement Ctr Iv
was reviewed by Medicare to have a rating of 1 out of 5. About Medicare Ratings
Overall Rating
Health Inspections Rating
Quality Measures Rating
Staff Rating
RN Staff Rating

Overall Ratings of Ohio Nursing Homes

Fines, Complaints, and Inspection Problems in the Past 3 Years

Compare The Number of Problems

Types of Problems at Nursing Homes

Some issues within a nursing home are much more severe than others. Medicare evaluates each problem based on 2 scales: the number of residents affected by a problem and the severity of the potential or actual harm to residents based on the problem. We have color coded the matrix below to make it easier to pick out the more severe problems. In general, orange and red issues related to the treatment of a resident are considered substandard quality of care.

  Residents Affected
Severity of the Deficiency Few Some Many
Immediate jeopardy to resident health or safety J K L
Actual harm that is not immediate jeopardy G H I
No actual harm with potential for more than minimal harm that is not immediate jeopardy D E F
No actual harm with potential for minimal harm A B C

June 2, 2016 - 14 months ago

 Residents AffectedSeveritySource/TypeDescription
---Fine$188,741 fine
JFewImmediate JeopardyHealth InspectionProvide necessary care and services to maintain or improve the highest well being of each resident .
FManyPotential for HarmHealth InspectionChoose a doctor to serve as the medical director to create resident care policies and coordinate medical care in the facility.
FManyPotential for HarmHealth InspectionHave a program that investigates, controls and keeps infection from spreading.
FManyPotential for HarmHealth InspectionMake sure that the facility is administered in an acceptable way that maintains the well-being of each resident .
FManyPotential for HarmHealth InspectionTrain all employees on what to do in an emergency, and carry out unannounced staff drills.
FManyPotential for HarmHealth InspectionHave a detailed, written plan for disasters and emergencies, such as fire, severe weather, and missing residents.
FManyPotential for HarmHealth InspectionSet up an ongoing quality assessment and assurance group to review quality deficiencies quarterly, and develop corrective plans of action.
GFewActual HarmHealth InspectionGive residents proper treatment to prevent new bed (pressure) sores or heal existing bed sores.
ESomePotential for HarmHealth InspectionEnsure that each resident's 1) entire drug/medication regimen is free from unnecessary drugs; and 2) is managed and monitored to achieve highest level of well-being.
ESomePotential for HarmHealth InspectionImmediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.
DFewPotential for HarmComplaint+InspectionDevelop and implement policies for 1) screening and training employees; and the 2) prevention, identification, investigation, and reporting of any abuse, neglect, mistreatment and misappropriation of property.
DFewPotential for HarmComplaint+Inspection1) Hire only people with no legal history of abusing, neglecting or mistreating residents; or 2) report and investigate any acts or reports of abuse, neglect or mistreatment of residents.
DFewPotential for HarmHealth InspectionGive or get x-rays and other tests in a timely manner to meet the needs of residents.
DFewPotential for HarmComplaint+InspectionKeep accurate, complete and organized clinical records on each resident that meet professional standards.
DFewPotential for HarmHealth InspectionEnsure that a nursing home area is free from accident hazards and provide adequate supervision to prevent avoidable accidents.
DFewPotential for HarmHealth InspectionEnsure each resident receives an accurate assessment by a qualified health professional.
DFewPotential for HarmHealth InspectionReview or revise the resident's care plan after any major change in physical or mental health.
DFewPotential for HarmHealth InspectionEnsure that each resident who enters the nursing home without a catheter is not given a catheter, unless medically necessary, and that incontinent patients receive proper services to prevent urinary tract infections and restore normal bladder functions.
DFewPotential for HarmHealth InspectionDevelop a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
DFewPotential for HarmHealth InspectionAllow residents the right to participate in the planning or revision of care and treatment.
DFewPotential for HarmHealth InspectionMake sure that residents receive treatments/services to maintain or improve their ability to care for themselves.
BSomePotential for Minimal HarmHealth InspectionLet residents choose a personal doctor.

August 20, 2015 - 2 years ago

 Residents AffectedSeveritySource/TypeDescription
ESomePotential for HarmHealth InspectionEnsure that a nursing home area is free from accident hazards and provide adequate supervision to prevent avoidable accidents.
ESomePotential for HarmHealth InspectionMaintain drug records and properly mark/label drugs and other similar products according to accepted professional standards.
ESomePotential for HarmHealth InspectionHave enough nurses to care for every resident in a way that maximizes the resident's well being.
ESomePotential for HarmHealth InspectionProvide housekeeping and maintenance services.
DFewPotential for HarmHealth InspectionAt least once a month, have a licensed pharmacist review each resident's medication(s) and report any irregularities to the attending doctor.
DFewPotential for HarmHealth InspectionKeep accurate, complete and organized clinical records on each resident that meet professional standards.
DFewPotential for HarmHealth InspectionEnsure residents maintain acceptable nutritional status.
DFewPotential for HarmHealth InspectionAssist those residents who need help with eating/drinking, grooming and personal and oral hygiene.
DFewPotential for HarmHealth InspectionGive residents proper treatment to prevent new bed (pressure) sores or heal existing bed sores.
DFewPotential for HarmHealth InspectionProvide care for residents in a way that maintains or improves their dignity and respect in full recognition of their individuality.
DFewPotential for HarmHealth InspectionEnsure that each resident's 1) entire drug/medication regimen is free from unnecessary drugs; and 2) is managed and monitored to achieve highest level of well-being.

Staffing Levels Per Resident per Day

Medicare determines the expected staffing time per resident per day depending on level of care the residents of Country Club Retirement Ctr Iv require. It is important to compare the reported time to expected time for a single facility instead of comparing the amount of time per resident of two facilities. Learn why.

2hr 40min
2hr 30min
ReportedExpected
CNA
50min
45min
ReportedExpected
LPN
45min
1hr 25min
ReportedExpected
RN
4hr 20min
4hr 40min
ReportedExpected
Total Nursing

This facility also provides approximately 35min per resident per WEEK of physical therapist time.

Quality Measures for Long Stay Residents

93.9%
95.7%
95.7%
95.6%
95.2%
Q4 2015Q1 2016Q2 2016Q3 2016OH
Percentage of long-stay residents assessed and appropriately given the seasonal influenza vaccine
87.8%
92.7%
93.3%
92.7%
95.4%
Q4 2015Q1 2016Q2 2016Q3 2016OH
Percentage of long-stay residents assessed and appropriately given the pneumococcal vaccine
35.0%
-
-
-
42.3%
Q4 2015Q1 2016Q2 2016Q3 2016OH
* The data for this facility for some quarters is unavailable.
Percentage of low risk long-stay residents who lose control of their bowels or bladder
9.8%
10.0%
4.8%
15.4%
24.8%
Q4 2015Q1 2016Q2 2016Q3 2016OH
Percentage of long-stay residents who received an antianxiety or hypnotic medication
16.6%
32.6%
48.0%
20.4%
18.7%
Q4 2015Q1 2016Q2 2016Q3 2016OH
Percentage of long-stay residents whose ability to move independently worsened
17.1%
19.5%
26.7%
22.0%
18.3%
Q4 2015Q1 2016Q2 2016Q3 2016OH
Percentage of long-stay residents who received an antipsychotic medication
10.5%
40.0%
28.6%
13.2%
15.6%
Q4 2015Q1 2016Q2 2016Q3 2016OH
Percentage of long-stay residents whose need for help with daily activities has increased
16.1%
7.2%
0.0%
2.2%
7.0%
Q4 2015Q1 2016Q2 2016Q3 2016OH
Percentage of long-stay residents who self-report moderate to severe pain
14.6%
12.2%
11.1%
12.2%
7.3%
Q4 2015Q1 2016Q2 2016Q3 2016OH
Percentage of long-stay residents who lose too much weight
4.2%
13.8%
3.2%
3.4%
5.2%
Q4 2015Q1 2016Q2 2016Q3 2016OH
Percentage of high risk long-stay residents with pressure ulcers
0.0%
0.0%
0.0%
0.0%
12.3%
Q4 2015Q1 2016Q2 2016Q3 2016OH
Percentage of long-stay residents who have depressive symptoms
0.0%
0.0%
0.0%
4.9%
3.9%
Q4 2015Q1 2016Q2 2016Q3 2016OH
Percentage of long-stay residents with a urinary tract infection
2.4%
0.0%
2.2%
9.8%
3.5%
Q4 2015Q1 2016Q2 2016Q3 2016OH
Percentage of long-stay residents experiencing one or more falls with major injury
2.5%
4.9%
3.2%
0.0%
2.2%
Q4 2015Q1 2016Q2 2016Q3 2016OH
Percentage of long-stay residents with a catheter inserted and left in their bladder
0.0%
0.0%
0.0%
0.0%
0.5%
Q4 2015Q1 2016Q2 2016Q3 2016OH
Percentage of long-stay residents who were physically restrained

Quality Measures for Short Stay Residents

96.7%
97.0%
100.0%
98.3%
85.5%
Q4 2015Q1 2016Q2 2016Q3 2016OH
Percentage of short-stay residents assessed and appropriately given the pneumococcal vaccine
88.2%
92.5%
92.5%
92.5%
82.6%
Q4 2015Q1 2016Q2 2016Q3 2016OH
Percentage of short-stay residents who were assessed and appropriately given the seasonal influenza vaccine
-
61.2%
57.9%
-
62.7%
Q4 2015Q1 2016Q2 2016Q3 2016OH
* The data for this facility for some quarters is unavailable.
Percentage of short-stay residents who made improvements in function
32.6%
20.4%
18.2%
22.2%
17.3%
Q4 2015Q1 2016Q2 2016Q3 2016OH
Percentage of short-stay residents who self-report moderate to severe pain
2.6%
2.2%
2.4%
0.0%
2.1%
Q4 2015Q1 2016Q2 2016Q3 2016OH
Percentage of short-stay residents who newly received an antipsychotic medication
2.2%
4.8%
3.4%
0.0%
1.1%
Q4 2015Q1 2016Q2 2016Q3 2016OH
Percentage of short-stay residents with pressure ulcers that are new or worsened